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PRIME PHARMACY LLC
NPI 1174055925
Pharmacy - Community/Retail Pharmacy in Wyandotte, MI

Active since March 31, 2017CLIA 23D2207217 · Waiver
1948 FORD AVE, WYANDOTTE, MI 48192(734) 309-7082(734) 309-7039 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017, Jun 1, 2017 and 3 more (6 updates tracked since 2017).

About Prime Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME PHARMACY LLC (NPI 1174055925) is a healthcare organization registered as a community/retail pharmacy in Wyandotte, Michigan and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Mohammad Hamdan, Owner, as its authorized official.

NPPES Registry Identity

NPI1174055925
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRIME PHARMACY LLC
Location Address1948 FORD AVEWyandotte, MI 48192-2308
Mailing Address1948 Ford AveWyandotte, MI 48192 · (734) 309-7082 · Fax (734) 309-3039
Phone(734) 309-7082
Fax(734) 309-7039
Organization SubpartNo
Authorized OfficialMohammad HamdanOwner · (734) 309-7082
Enumeration DateMarch 31, 2017
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
✔ NPI 1174055925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301011147
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1948 FORD AVE, Wyandotte, MI 48192
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Other Identifiers 1

Other2168765Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2207217

Prime Pharmacy · Wyandotte, MI
Active · expires Dec 25, 2026
CLIA Number23D2207217
Laboratory TypePharmacy
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMohammad Hamdan
Laboratory Phone(734) 309-7082
Laboratory LocationPrime Pharmacy1948 Ford Avenue, Wyandotte, MI 48192
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Pharmacy LLC's NPI number?

The NPI number for Prime Pharmacy LLC is 1174055925. It was assigned to this organization in the NPPES registry on March 31, 2017.

Where is Prime Pharmacy LLC located?

Prime Pharmacy LLC is located at 1948 Ford Ave, Wyandotte, MI 48192. The listed phone number is (734) 309-7082.

What is Prime Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Prime Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2207217) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Prime Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Pharmacy LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.